Provider First Line Business Practice Location Address:
7400 MACARTHUR BLVD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94605-2939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-638-9851
Provider Business Practice Location Address Fax Number:
510-638-9852
Provider Enumeration Date:
06/19/2006